TITLE:
Dental Treatment with 30% Trichloroacetic Acid in a Patient with Moderate Hemophilia A
AUTHORS:
Evelyn Gonzalez Delgado, Gianluca Sottilotta
KEYWORDS:
Hemophilia; Dental Treatment; 30% Trichloroacetic Acid; Clotting Factor
JOURNAL NAME:
Open Journal of Blood Diseases,
Vol.3 No.1,
March
28,
2013
ABSTRACT:
We present the case of a 51-year-old moderate
hemophiliac with gingival bleeding due to papillary inflammation and adherence
in the molar area 47. After dental diagnosis a calculus was removed and 30% trichloroacetic acid was placed by a pressurized applicator for five seconds; the procedure
was repeated until the bleeding stopped, then tranexamic acid was placed by a gauze. The patient chewed
the gauze for 30 minutes and was discharged after repeating the same procedure
for 30 minutes more. We
observed how local treatment with trichloroacetic
acid combined to tranexamic acid placed on the hemorrhagic site was able
to stop the bleeding.